NPIMap

Organization Active NPI

Dynasty Medical Care, P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1174774152
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
199398 Issued in NY
Legal business name
DYNASTY MEDICAL CARE, P.C.
Practice address
345 E 94TH St
New York, NY 10128-5684
Phone
(212) 412-1000
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Dominique Garcia
Title
Office Manager
Phone
(718) 456-7940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 199398 NY Primary

Addresses

Primary practice location

345 E 94TH St
New York, NY 10128-5684

Mailing address

50 Charles Lindbergh Blvd
Suite 400
Uniondale, NY 11553-3626
Phone (718) 456-7940

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1174774152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHARLES LINDBERGH BLVD",
            "address_2": "SUITE 400",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533626",
            "telephone_number": "718-456-7940",
            "fax_number": "516-869-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 94TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285684",
            "telephone_number": "212-412-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-456-7940",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "199398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.